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早期护理对维持性血液透析患者动静脉内瘘并发症发生率的影响效果 被引量:6

Effect of early nursing on the incidence of complications of arteriovenous fistula in maintenance hemodialysis patients
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摘要 目的探析早期护理对维持性血液透析患者动静脉内瘘并发症发生率的效果。方法选取我院2015年8月-2017年12月62例进行维持性血液透析的患者作为研究对象,并采用住院病例尾号奇偶数法为对照组31例和试验组31例,[1]对照组在血液透析期间给予常规护理干预,试验组则成立专业小组开展在常规护理的基础上实施早期护理干预,对比两组并发症发生率统计ADL评分、内瘘闭塞率以及动脉瘤等情况。结果试验组患者动静脉内瘘并发症发生率与对照组相比较低,具有统计学意义P <0. 05。同时试验组患者日常生活质量明显较对照组升高,且内瘘闭塞率以及动脉瘤样扩张率明显较对照组多,具有统计学意义P <0. 05。结论针对维持性血液透析患者,在早期开展护理干预措施,对减少动静脉内瘘及其并发症发生率具有显著疗效,同时可提升日常生活质量,临床推广价值极高。 Objective To investigate the effect of early nursing on the incidence of complications of arteriovenous fistula in maintenance hemodialysis patients.Methods Totally 62patients undergoing maintenance hemodialysis from August 2015to December 2017in our hospital were enrolled in this study.Tail number parity was used as control group and 31patients in control group The group received routine nursing intervention during hemodialysis.In the experimental group,a professional group was established to carry out early nursing intervention on the basis of routine nursing.The ADL score,fistula occlusion rate and aneurysm of the two groups were compared.Results The incidence of complications of arteriovenous fistula in test group was lower than that in control group,with statistical significance (P <0.05).At the same time,the daily life quality of patients in test group was significantly higher than that in control group,with statistical significance (P < 0.05).Conclusion In the early stage of hemodialysis patients,nursing interventions are effective in reducing the incidence of arteriovenous fistula and its complications,and at the same time,it can improve the quality of daily life and have very high clinical value.
作者 连家红 林华 刘赐贤 Lian Jiahong;Lin Hua;Liu Cixian(Guangdong province Shantoutiaditional Chinese medicine hospital 515031,China)
出处 《辽宁医学杂志》 2018年第5期37-39,共3页 Medical Journal of Liaoning
关键词 早期护理 维持性血液透析 动静脉内瘘 并发症 影响效果 Early nursing Maintenance hemodialysis Arteriovenous fistula Complications Effect
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